DYADS’ POSITIVE AND NEGATIVE AFFECT ASSOCIATION WITH MENTAL HEALTH AND PERCEIVED GENERAL HEALTH

Abstract Positive and negative affect may impact health in older adults and their family caregivers. However, how members of a caregiving dyad may influence each other’s health outcomes is not well understood. The purpose of this analysis was to simultaneously examine whether both dyad members’ positive and negative affect were associated with their own and each other’s mental health (depression and anxiety) and perceived general health. Dyadic data were obtained from the National Health and Aging Trends Study (NHATS) (2021) linked to the National Study of Caregiving (NSOC) IV (2021). The sample consisted of 1,209 pairs of adults aged 71 and older and their respective primary caregivers, defined as the family member or friend who provided the greatest number of hours of care in the preceding month. Actor-partner interdependence models were used to examine associations between positive and negative affect, mental health, and perceived general health, controlled for dyad members’ own gender, age, and race/ethnicity. Results indicated that positive and negative affect significantly predicted caregivers’ and older adults’ own mental health and perceived general health. Furthermore, older adults’ negative affect significantly predicted caregivers’ expressing little interest or pleasure in doing things (b = 0.033 (0.016), p = .046). Our results suggest that an individual’s mood influences their mental health and perceived general health even when considering partner effects. Caregivers’ interest or pleasure is particularly impacted by older adults’ negative affect. Dyadic supportive strategies to improve mood could be beneficial for both older adults and their family caregivers.

seeking therapy, discussing symptoms, and displaying vulnerability, leading to loneliness and disconnection.Loneliness is increased in middle age black women who've experienced traumatic events.In an intervention trial, the associations between blood pressure control and living arrangements were examined.Middle-aged black women living alone were reported to have a higher prevalence of uncontrolled blood pressure, cardiovascular events, and mortality compared to those living with others.There are limited studies of loneliness and depression in black women with hypertension.Additional studies are needed that include variables reflective of cultural norms.A culturally sensitive clinical environment that facilitates discussion about feelings of depression and loneliness could be foundational to the development of new more precise interventions for black women with hypertension.Hearing loss, depression, and cognitive impairment are common, co-occurring conditions experienced by older adults, but the nature of the relationship among these conditions remains unclear.Both depression and hearing loss have been identified as risk factors for dementia, but for different stages of life (e.g., Singh-Manoux et al., 2017;Livingston et al., 2020).Hearing loss is described as the strongest modifiable risk factor in mid-life, and depression is second only to smoking as the strongest modifiable risk factor in late-life (Livingston et al., 2020).The association between hearing loss and depression is well documented in the literature (e.g., Lawrence et al., 2015).It is possible that hearing loss, as an earlier risk factor, moderates the relationship between depression and cognition.Therefore, as part of an ongoing longitudinal study of early indicators of cognitive decline, we examined the moderating effect of two measures of hearing (pure-tone hearing threshold average, Dichotic Sentence Identification test) on the relationship between depression (Geriatric Depression Scale) and cognition (Montreal Cognitive Assessment, Digit Symbol Substitution test) for a group of 65 older adults (mean age 74).Although none of the hearing or cognitive measures were significant predictors of depression scores on their own, there was a significant negative interaction between the Montreal Cognitive Assessment and pure-tone hearing threshold average, p = 0.048.These results may be interpreted to suggest that individuals with higher (poorer) hearing thresholds show a decrease in depression as their cognitive scores improve, whereas individuals with lower (better) hearing thresholds show the opposite pattern.

DYADS' POSITIVE AND NEGATIVE AFFECT ASSOCIATION WITH MENTAL HEALTH AND PERCEIVED GENERAL HEALTH
Cristina de Rosa, Weijun Wang, and Yu-Ping Chang, University at Buffalo, The State University of New York, Buffalo, New York, United States Positive and negative affect may impact health in older adults and their family caregivers.However, how members of a caregiving dyad may influence each other's health outcomes is not well understood.The purpose of this analysis was to simultaneously examine whether both dyad members' positive and negative affect were associated with their own and each other's mental health (depression and anxiety) and perceived general health.Dyadic data were obtained from the National Health and Aging Trends Study (NHATS) (2021) linked to the National Study of Caregiving (NSOC) IV ( 2021).The sample consisted of 1,209 pairs of adults aged 71 and older and their respective primary caregivers, defined as the family member or friend who provided the greatest number of hours of care in the preceding month.Actorpartner interdependence models were used to examine associations between positive and negative affect, mental health, and perceived general health, controlled for dyad members' own gender, age, and race/ethnicity.Results indicated that positive and negative affect significantly predicted caregivers' and older adults' own mental health and perceived general health.Furthermore, older adults' negative affect significantly predicted caregivers' expressing little interest or pleasure in doing things (b = 0.033 (0.016), p = .046).Our results suggest that an individual's mood influences their mental health and perceived general health even when considering partner effects.Caregivers' interest or pleasure is particularly impacted by older adults' negative affect.Dyadic supportive strategies to improve mood could be beneficial for both older adults and their family caregivers.

ELECTROCONVULSIVE THERAPY FOR TREATMENT OF TACTILE HALLUCINATIONS
Megan Kummerlowe, Kierstin Utter, and Lapid Maria, Mayo Clinic, Rochester, Minnesota, United States Tactile hallucinations can be highly distressing and lead to psychiatric morbidities and functional impairments.There are no established treatments for tactile hallucinations that occur outside of primary psychotic disorders, and available pharmacologic and nonpharmacologic therapies may have limited effectiveness.We present a case of a 75-year-old female with treatment-refractory tactile hallucinations successfully treated with electroconvulsive therapy (ECT).She endorsed 13 months of distressing tactile hallucinations described as slimly substances on her skin.Symptoms started insidiously, became more severe with time and refractory to multiple antipsychotic medications.She became so severely distressed from the tactile hallucinations that she developed a major depressive episode and became suicidal.Relevant medical history included one prior depressive episode, occipital lobe stroke, restless legs syndrome, and obstructive sleep apnea.She was hospitalized in an inpatient psychogeriatric unit and treated with ECT for 12 sessions over 3.5 weeks.Hallucinations responded well to ECT.Patient experienced some mild memory impairment from treatment.Treatment was optimized with duloxetine titration, addition of mirtazapine and repletion of B6 vitamin.Following the acute course of ECT, she reported an 80 % improvement in tactile hallucinations.Depressive symptoms improved, and suicidal thoughts resolved.She was able to discharge from the hospital and continued with maintenance ECT.Our case illustrates the potential therapeutic role of brain stimulation in the treatment of refractory cases of tactile hallucinations.Further studies are needed to determine effective treatment strategies for treatment-refractory tactile hallucinations to prevent progression to severe psychiatric disturbances and improve quality of life.

GENDERED TRAJECTORIES OF DEPRESSIVE SYMPTOMS IN OLDER KOREAN PARENTS BEREAVED OF AN ADULT CHILD
Sujeong Park, and Jinho Kim, Korea University, Seoul, Republic of Korea Despite the existing body of research on the impact of child bereavement, little is known about whether time to the death of an adult child is associated with changes in depressive symptoms among older Korean parents.This study examines (a) trajectories of depressive symptoms before and after the loss of an adult child and (b) whether these trajectories differ across parent-child pairs (father-son, father-daughter, mother-son, and mother-daughter).Using eight waves of the Korean Longitudinal Study of Ageing (KLoSA), the study employs fixed effects models to mitigate potential bias due to unobserved individual-level heterogeneity.The result of this study revealed that depressive symptoms increased within the first year following the loss of an adult child among bereaved parents.Considering the gender of both the parent and the deceased child, differences in psychological adjustment to bereavement were observed in different dyads.Depressive symptoms surged within the first year and persisted even beyond the fourth year of loss among daughter-bereaved fathers, while only an immediate rise in depressive symptoms within the first year of loss occurred for other pairs.Given prevailing gender role socialization in the Korean context, men's conformity to masculinity norms and the traditional expectation for daughters to provide emotional support may contribute to the long-term increase in depressive symptoms for fathers who have lost a daughter.Thus, in societies where Confucian gender culture is ingrained as a social norm, policies for the psychological support of older parents who have lost adult children must consider the different trajectories of parent-child relationships.

INTEGRATING GEROPSYCHOLOGY SERVICES INTO MEDICAL SETTINGS Ann Pearman, MetroHealth Medical System, Cleveland, Ohio, United States
Integrating behavioral health into medical settings, such as primary care clinics, has been shown to have a positive impact on the well-being and health of patients.Increased access to mental health services as well as increased identification of psychological issues is an important goal for all patients but may be of particular importance for geriatric patients who often have multiple chronic conditions along with an increased risk of neurocognitive disorders.This paper is intended to describe the process of starting an integrated geriatric behavioral health service line into geriatric and internal medicine clinics at a large urban hospital that serves a primarily underserved population of patients.MetroHealth Medical Centers serves over 300,000 patients, 75% of whom